Organization · Type 2 NPI

Wal-Mart Puerto Rico Inc

Community/Retail Pharmacy · San Juan, PR

NPI number 1699014514 Active

Practice location

Carr 2 Ave R H Todd Esq, Calle Corchado Santurce
San Juan, PR 00907

Call (787) 641-5606 Map

Fax (787) 945-5016

Mailing address

1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	19-F-3103 (PR)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Other community/retail pharmacy providers in San Juan

See all in San Juan →

NPI record

NPI: 1699014514
Entity type: Organization (Type 2)
Issued: Feb 13, 2013
Last updated: Jul 17, 2026
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-5803 · doing business as
Walmart Pharmacy 10-5803 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(480) 277-6348

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1699014514

Wal-Mart Puerto Rico Inc's National Provider Identifier is 1699014514, issued on Feb 13, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Juan, PR. The record was last updated on Jul 17, 2026.